Individual
MR. THOMAS SCOTT MCKIERNAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 SCENIC DR, MODESTO, CA 95350-6156
(209) 577-1014
(209) 577-8046
Mailing address
611 SCENIC DR, MODESTO, CA 95350-6156
(209) 577-1014
(209) 577-8046
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA6031
CA
237700000X
Hearing Instrument Specialist
HAD0000247
CO
Other
Enumeration date
10/14/2011
Last updated
07/17/2015
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